![]() ![]() ![]() During the last three years, the symptoms developed 20-30 minutes after the start of the physical activity and the pain was relieved 15-20 minutes after the cessation of exercise. Case PresentationĪ 26-year-old male amateur soccer player had a three-year history of exercise-induced anterior tibial pain and numbness on both lower legs. The patient was informed that data concerning the case would be submitted for publication, and he provided consent. Here, we describe a rare case of bilateral, acute exertional anterior compartment syndrome of the lower extremity due to vigorous exercise. Contrary to the exertional compartment syndrome, the symptoms of the acute exertional compartment syndrome do not resolve with rest and urgent decompression is warranted. It has been associated with sustained athletic or military training and is a surgical emergency. On the other hand, acute exertional compartment syndrome is rarer. The treatment is mainly conservative but rarely surgical intervention may be needed. The symptoms start with exercise and resolve with rest. Įxertional compartment syndrome is a form of compartment syndrome that presents with pain and swelling of the involved compartment. Urgent fasciotomies and decompression of the tissue in the affected compartments are the proposed surgical treatment in order to avoid late disability. It can progress rapidly and urgent diagnosis and appropriate treatment are necessary in order to prevent the development of tissue ischemia and necrosis. Acute compartment syndrome is considered a potentially limb- and life-threatening orthopaedic emergency.
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